AU645141B2

AU645141B2 - Prosthetic hip stem implant with torque adapter

Info

Publication number: AU645141B2
Application number: AU86949/91A
Authority: AU
Inventors: Donna L. Campana; Perry A. Geremakis; Roger R. Kenyon; Mark David Landes
Original assignee: Zimmer Inc
Current assignee: Zimmer Inc
Priority date: 1990-11-05
Filing date: 1991-11-04
Publication date: 1994-01-06
Anticipated expiration: 2011-11-04
Also published as: JPH04300538A; AU8694991A; CA2053453A1; EP0485065A3; EP0485065A2

Description

AUSTRALIA

Patent Act COMPLETE SPECIFICATION

(ORIGINAL)

Class I 4514 1 nt. Class Application Number: Lodged: Complete Specification Lodged: Accepted: Published: Priority: Related Art: Names(s) of Applicant(s): ZIMMER, INC.

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o oq Ioo e l Actual Inventor(s): Donna L. Campana Perry A. Geremakis Mark David Landes Roger R. Kenyon Our Address for service is: PHILLIPS ORMONDE FITZPATRICK Patent and Trade Mark Attorneys 367 Collins Street MELBOURNE, Australia 3000 Complete Specification for the invention entitled: PROSTHETIC HIP STEM IMPLANT WITH TORQUE ADAPTER The following statement is a full description of this invention, including the best method of performing it known to applicant(s): 0804N 0804N PROSTHETIC HIP STEM IMPLANT WITH TORQUE ADAPTER Field of the Invention This invention relates generally to a prosthetic hip stem implant and more particularly to a prosthetic hip stem implant with a torque adapter.

Backaround of the Invention In hip replacement surgery where the head and neck of the posterior femur are removed and replaced with a prosthetic implant it is desirable that the implant be secured against rotational movement. A procedure and apparatus for torsionally testing a seated prosthetic hip implant has been developed to cure this problem and forms the subject matter of U.S. Patent No. 4,922,898 issued to Dunn. As described in the Dunn Patent an adapter having parallel legs is fitted over the neck of a prosthetic hip implant after the implant has been seated. A torque wrench is connected to the adapter and torque applied to the implant. A properly seated implant will sustain inch pounds of torque for a period of 15 seconds as described in Dunn. A problem exists, however, in that the neck of the implant may become scratched or otherwise marred when the adapter is attached. Scratches or imperfections in the surface of a prosthetic hip stem :'"implant may create stress risers leading to a weakened co7 S25 implant.

0o diAnother problem with prior art hip stems is that during seating of the implant the surgeon is left to axially align the implant. The absence of alignment indicia could result in slight axial misalignment of the 30 implant requiring its reseating.

Summary of the Invention "The prosthetic hip stem and torque adapter of this invention eliminates the problems experienced above. The adapter includes a pivotal cylindrical arm engaging an extraction bore in the implant. The adapter further includes a pair of nipples which engage within a corresponding pair of recesses formed in the upper surface of the implant neck. The arm is drawn upwardly by an 39 -lAadjustment screw to clamp the adapter to the implant without allowing for the possibility of scratching the implant. The adapter further includes a head for connection to a torque wrench.

The implant of this invention includes alignment indicia on a protruding lip to provide alignment guidance for the surgeon when inserting the implant into the posterior femur.

Accordingly, it is an object of this invention to provide for a novel prosthetic hip stem implant.

Another object of this invention is to provide for a novel torque adapter for a prosthetic hip stem implant.

Another object of the invention is to provide for a torque adapter for a prosthetic hip stem implant which engages a through bore of the implant and recesses formed 0'.20 in the implant's upper surface to secure the adapter to the implant.

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Accordingly in one aspect the invention provides a prosthetic hip implant including a stem and a neck, said 25 stem including an upper surface near said neck, means formed in said stem upper surface for engagement by a oeo: torque wrench adapter.

g In another aspect the invention provides, in combination, a prosthetic hip implant and a torque wrench adapter, said implant including a stem and a neck forming a body at their junction, said body having an upper surface, an extraction bore formed through said body below said upper surface, engagement means formed in said body upper surface for engagement by said adapter, said adapter including a body, an arm connected to said body for insertion within said extraction bore, said body including a socket for accommodating a torque wrench drive, a A.j protrusion means extending toward said arm for seating 2 within said engagement means, a portion of said body being disposed between said arm and said protrusion means, and means for clamping said adapter to said implant.

In a further aspect the invention provides a torque wrench adapter for a prosthetic hip implant, said implant having an extraction bore and upper engagement means, said adapter comprising a housing, an arm movably connected to said housing, said housing including a head, said head including socket means for accommodating a drive of a torque wrench, protrusion means carried by said housing for engaging said implant engagement means, said protrusion means being spaced from said arm, and means carried by said housing for shifting said arm toward said protrusion means.

Brief Description of the Drawings Fig. 1 is a perspective view of a prosthetic hip stem implant with torque adaptor attached. A portion of a prepared distal femur and torque wrench is shown in for illustrative purposes only.

Fig. 2 is a side elevational view of a prosthetic hip stem implant of this invention.

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g.o Fig. 3 is a top view of a prosthetic hip stem implant of Fig. 2.

e* e Fig. 4 is a side elevational view of a torque adaptor according to the invention.

Fig. 5 is a front view of the torque adaptor of Fig. 4.

Fig. 6 is a fragmented cross sectional view taken from line 6-6 of Fig. 1.

Description of the Preferred Embodiment The preferred embodiment herein described is not intended to be exhaustive or to limit the application to 2CLthe precise forms disclosed. Rather it is chosen so that others skilled in the art may utilize its teachings.

Referring now to the drawings, a prosthetic hip plant implant 10 and torque adapter 30 are illustrated.

Implant 10 includes a neck 12 and a fluted stem 18 joined by a body 14 at their junction. Neck 12 is adapted to accommodate a prosthetic hip ball (not shown). Stem 18 is adapted for insertion into the intramedullary canal of a femur 8 shown in broken lines in Fig. 1 only. A fiber metal porous surface layer 16 is carried by implant 10 on body 14. A lip or collar 20 extends from body 14 of implant 10 and includes alignment indicia 21 aligned with the longitudinal center line of the implant. An extraction bore 24 extends through body 14. A punch recess 26 having an arcuate bottom is formed in the upper surface 27 of body 14 and defines a striking point for impacting the implant into the femur intramedullary canal. A pair of recesses 28 are formed on the upper surface 27 of body 14 on opposite sides of punch recess 26.

Adapter 30 includes a generally L-shaped housing 32 having a head 34 as an integral part. Head 34 includes an interior squared socket 46 and a pair of lower extending nipples 48. An arm 36 is pivotally or movably connected to the lower extending leg 35 of housing 32 by a pivot pin 25 38. Arm 36 includes a cylindrical portion 37. A bracket 0. 40 is connected to arm 36 between the leg of housing 32 and the cylindrical portion 37 of the arm. An adjustment screw 42 extends through body 32 and is threaded into bracket 40. Adjustment screw 42 includes a common hex 30 head socket 43 which extends above body 32. In the alternative the adjustment screw 42 could move the arm 36 "i and cylindrical portion 37 up and down relative to a slot formed in the leg 35 for receiving the end of arm 36.

In use after the intramedullary canal of the femur is properly prepared the fluted stem 18 of the implant is inserted into the canal. The surgeon drives the implant into seating engagement with the femur by placing one end of a punch (not shown) within central punch recess 39 -3- 26 and striking the opposite end of the punch. As the implant is driven into the canal the surgeon can insure axial alignment of the implant by aligning the alignment indicia 21 on lip 20 of the implant with a predetermined point on the femur. This point is referenced from a similar indicia on a rasp instrument which properly prepares the canal. To remove the implant from the intramedullary canal during the operation, the surgeon inserts a removal tool (not shown) through extraction bore 24 of the implant and pulls the implant out.

After implant 10 is seated within the femur intramedullary canal, the implant must be tested against rotation under torque to insure proper fit of the implant to the femur. To attach a torque wrench the surgeon attaches adapter 30 to the implant by inserting arm 36 into extraction bore 24. Properly positioned, nipples 48 of adapter head 34 seat within recesses 28 of the implant. Screw 42 is then turned to pivot arm 36 toward head 34 to clamp the adapter to the implant 10. After the adapter is firmly attached to the implant the square drive of a torque wrench partially shown in Fig. 1 only is fit within socket 46 of adapter head 34. To remove the S. adapter, adjustment screw 42 is rotated in an opposite direction to pivot arm 36 away from head 34 to relieve the clamping pressure of the arm. The adapter may be then slid from implant As illustrated and described adapter 30 when connected to implant 10 the adaptor only contacts the implant at the inner surface of extraction bore 24 and at recesses 28. Further, the implant is only contacted by rounded surfaces of the adapter. Therefore, the possibility of damaging or scratching the implant with the •adapter during use is minimized.

It should be understood that the invention should not be limited to the precise forms disclosed but may be modified within the scope of the approved claims.

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Claims

2. The hip implant of claim 1 wherein said engagement means includes a recess formed in said body upper surface.
3. The hip implant of claim 1 wherein said engagement means inc'udes a pair of recesses in said body upper surface.
4. The hip implant of claim 1 in which said upper surface forms a punch recess and said engagement means includes a pair of recesses on opposite sides of said punch recess.
5. In combination a prosthetic hip implant and a torque wrench adapter, said implant including a stem and a neck forming a body at their junction, said body having an upper surface, an extraction bore formed through said body below said upper surface, engagement means formed in said body upper surface for engagement by said adapter, said adapter including a body, an arm connected to said body for insertion within said extraction bore, said body including a socket for accommodating a torque wrench drive, a protrusion means extending toward said arm for 25 seating within said engagement means, a portion of said body being disposed between said arm and said protrusion eomeans, and means for clamping said adapter to said implant.
6. The combination of claim 5 wherein said engagement means includes at least one recess, said clamping means 30 includes a screw connected to said arm by a bracket wherein rotation of said screw in one direction causes said arm to shift toward said body for clamping engagement 0* of said body between said arm and said protrusion means.
7. A torque wrench adapter for a prosthetic hip implant, said implant having an extraction bore and upper engagement means, said adapter comprising a housing, an arm movably connected to said housing, said housing including a head, said head including socket means for L L4 accommodating a drive of a torque wrench, protrusion means caried by said housing for engaging said implant engagement means, said protrusion means being spaced from said arm, and means carried by said housing for shifting said arm toward said protrusion means.
8. The adapter of claim 7 wherein said shifting means includes a bracket connected to said arm adjacent said housing, a screw having a head and a shaft, said screw shaft traversing said housing and threaded within said bracket, said head extending outwardly of said housing, rotation of said screw draws said bracket towards baSd head to move a distal end of said arm toward said head.
9. A hip implant of claim 1 substantially as hereinbefore described with reference to the embodiment illustrated in any one of figures 1 to 3 and 6 of the accompanying drawings. *9 .2'Q 10. The combination of claim 5 substantially as hereinbefore described with reference to figure 1 or figure 6 of the accompanying drawings.
11. An adapter of claim 7 substantially as hereinbefore described with reference to the embodiment illustrated in any one of figures 1 and 4 to 6 of the accompanying drawings. 9o DATED: 19 October 1993 PHILLIPS ORMONDE FITZPATRICK Attorneys for: ZIMMER, INC. 4364N 6 PROSTHETIC HlIP STEM IMPLANT WITH TORQUE ADAPTER Abstract Of the Disclosure A prosthetic hip ,3tern implant and torque wret-nch adapter. The hip st em incla des art texmt'rac ior bor-Le fOVrme2 thl-OLgh it", bod(y aind a plur~li ty of.rcsin formed in the; body upper surface. A Ilp ex-t ends outwqardly of the body wid includ~ing al iyanmerit I.nd.lu'2i f forY yJ~sually aligning the implAnt during seating. The torque wrenlch adapter includes a movable arm which is accomnmoded in the extraction bore of the5 implant, A pair of protrusions extending downwardlty from the adaptor head to engage the implarnts' re:esses. An atdjustment screw sh.f-ts the avim toward the protrusionts to clamp the adap.ter to the implJant.